4265 Sandstone Dr - Inspection FormCity of Eagail
Residential Sanitary Sewer Service
Compliance Inspection
Date N f ` 1 10
Name
Li=Ari FNRtMAIQr'
PID Number
House Number 92
Alternative Mailing Address
For information call 65 1:470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings Number of seacks Fntere L. at
Roots
Poor Pipe Joints
r /
4" to b" Tra sition:
/ !.
White Copy: Property Owner
0 O am
Time • t} O p
OwnerlOccupant Signature
° 5k°L1 ]-L
Street Name _ vvD )g
y�r
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet.
lime
Final Cle rot:
O am
•
® — O pm
Phone b5 25 _ (
inspect . )r nature
No Access
O No one in
iy) Access to service .
„.. lateral needed
O Inspection
refused
Notes Ii•(f `AST li2c 5 T tt 3C (€� _ a„ 1
t� 5711 C�( vNAPiC R ov F
\j Fo MtfSS To nil`. _51"
66 'MC ixiseCcr
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
/
Sump p /
\ -, l
%\-
Foundation drains
r
f ,.
Roof drains
City of Eagail
Residential Sanitary Sewer Service
Compliance Inspection
Date N f ` 1 10
Name
Li=Ari FNRtMAIQr'
PID Number
House Number 92
Alternative Mailing Address
For information call 65 1:470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings Number of seacks Fntere L. at
Roots
Poor Pipe Joints
r /
4" to b" Tra sition:
/ !.
White Copy: Property Owner
0 O am
Time • t} O p
OwnerlOccupant Signature
° 5k°L1 ]-L
Street Name _ vvD )g
y�r
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet.
lime
Final Cle rot:
O am
•
® — O pm
Phone b5 25 _ (
inspect . )r nature
No Access
O No one in
iy) Access to service .
„.. lateral needed
O Inspection
refused
Notes Ii•(f `AST li2c 5 T tt 3C (€� _ a„ 1
t� 5711 C�( vNAPiC R ov F
\j Fo MtfSS To nil`. _51"
66 'MC ixiseCcr
Pink Copy: SEH